Treatment options for low-grade squamous intraepithelial lesions of the cervix
Dear OncoLink "Ask The Experts,"
I recently had a colposcopy, and had 4 biopsies taken from the four lesions found on my cervix. The results have come back as a low-grade abnormal type. I am being told to leave the lesions there, and be tested every six months. Isn't that a clue that I am a very high risk for these lesions to advance into a more serious matter? I guess I'm upset because I feel like I am getting different treatment because I'm poor, and being tested every six months is not only very inconvienient, and increases my stress, but it is very expensive, what should I do?
Christina S. Chu, MD, Assistant Professor of the Division of Gynecologic Oncology at the University of Pennsylvania Health System, responds:
There are generally two options after the diagnosis of low-grade squamous intraepithelial lesions has been confirmed by biopsy:
- follow up with repeat Pap tests every 4-6 months,
- or local excision such as LEEP biopsy.